LIBERTY MEDICAL SPECIALTIES, INC (NPI# 1518171800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518171800 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL SPECIALTIES, INC |
| Practice Address |
2224 South 17th Street Wilmington NC 28401 |
| Mailing Address |
Po Box 339 Whiteville NC 28472 |
| Practice Telephone | 9107638229 |
| Mailing Telephone | 9106422250 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | MRS. TAMARA LYNN JONES IV (BILLING MANAGER) |
| Authorized Official Telephone | 9106422250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0476T | 01 |
| NC | 7704121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538373824 | Liberty Medical Specialties, Inc | Pharmacy | 612-10 E Jefferson Street, Whiteville, NC 28472 | 2007-05-09 |
| 1740347285 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1804 Owen Dr, Fayetteville, NC 28304-3421 | 2007-01-03 |
| 1952468472 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 4221 Garrett Rd, Unit # 10, Durham, NC 27707-3467 | 2007-01-03 |
| 1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
| 1710043989 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 813 E Roosevelt Blvd Ste H, Monroe, NC 28112-5169 | 2006-12-29 |
| 1104921998 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 612-10 E Jefferson St, Whiteville, NC 28472 | 2006-09-14 |
| 1760587927 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 113 W Fire Tower Rd, Suite Q, Winterville, NC 28590-8377 | 2006-09-13 |
| 1790841955 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1007 Lexington Ave, Thomasville, NC 27360-3540 | 2006-12-29 |
| 1780740969 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 202 Penny Ln, Unit D, Morehead City, NC 28557-4305 | 2006-12-29 |
| Street Address |
2224 SOUTH 17TH STREET |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983880 | Linda Bernice Mccormick | Durable Medical Equipment & Medical Supplies | 200 Tyrone Ave, Wilmington, DE 19804-1929 | 2020-08-19 |
| 1861001133 | Emergeortho, P.a. | Durable Medical Equipment & Medical Supplies | 6019 Oleander Dr Ste 200, Wilmington, NC 28403-4813 | 2020-07-23 |
| 1740748342 | Atlantic Dme, LLC | Durable Medical Equipment & Medical Supplies | 1201 N Orange St Ste 7579, Wilmington, DE 19801-1382 | 2019-03-04 |
| 1649756602 | Dme Solutions | Durable Medical Equipment & Medical Supplies | 3953 Market St Unit B, Wilmington, NC 28403-1403 | 2018-07-12 |
| 1356836027 | Upward Mobility Solutions | Durable Medical Equipment & Medical Supplies | 1146 Shipyard Blvd, Wilmington, NC 28412-6439 | 2018-06-26 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1316438849 | Dasco Hme, LLC | Durable Medical Equipment & Medical Supplies | 1682 Alex Dr, Wilmington, OH 45177-1981 | 2018-05-21 |
| 1861919748 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 7144 Market St, Wilmington, NC 28411-9730 | 2017-08-23 |
| 1619413614 | Pinehurst Medical Equipment | Durable Medical Equipment & Medical Supplies | 3422 Old Capitol Trl, Suite 350-c, Wilmington, DE 19808-6124 | 2017-01-13 |
| 1770028094 | Beatmed Inc | Durable Medical Equipment & Medical Supplies | 4023 Kennett Pike Ste 54842, Wilmington, DE 19807-2018 | 2016-12-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on LIBERTY MEDICAL SPECIALTIES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.